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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI Number | 1275908642 |
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| LBN Legal business name | BONAVISTA OPTICS INC | ||||||||||||
| Authorized official | BONNIE ASHLEY - (PRESIDENT, OPTICIAN) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 12/10/2015 | ||||||||||||
| Last updated | 05/01/2017 - About 9 years ago | ||||||||||||
| Identifiers |
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BONAVISTA OPTICS INC